568 SEASPRAY AVE - FENCE i ;, �S CITY OF ATLANTIC BEACH
" f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
,s.vJS3l�r
FENCE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-FNCE-2629
Job Type: FENCE PERMIT
Description: 6ft fence
Estimated Value:
Issue Date: 2/29/2016
Expiration Date: 8/27/2016
PROPERTY ADDRESS:
Address: 568 SEASPRAY AVE
RE Number: 170703-0424
PROPERTY OWNER:
Name: LANIER, WANDA
Address: 31 WINDING RD
GENERAL CONTRACTOR INFORMATION:
Name: SUPERIOR FENCE AND RAIL OF NFL
Address: 5470 HIGHWAY AVE
Phone: 904-382-2221
'I
PERMIT INFORMATION:
I
FEES:
Fence/ROW $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
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11 DING CODES.
a BUILDING PERMIT APPLICATION
ir
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
•
lob Address: Se,4$Pe ly ,due Permit Number:
,egal Description /ti eS/ Z)e/UC`Q Parcel# Sq.Ft
Floor Area of Sq.Ft. q
ialuation of Work$ 22 / Z Proposed Work heated/cooled non-heated/cooled
lass of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door
Ise of existing/proposed structure(s)(circle one): Commercial Residential
[f an existing structure,is a fire spnnkler system installed? (Circle one): Yes No N/A
lorida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: kelp 410e r v,,e 'e / 77417/WOOL
reiixY' (0/t;) 6 ' lx// (/,'nib/ r ence CA/o7- ance /of/� .
Property Owner Information:
Name: W�i�//9N4 i4' 2N/eR Address: 6-60 SP 1 ' ,4ue,iJ f
City ,4tr9/u72C te 7 /1 State1LZip 52 Z3.3Phone Q09 3 2 / 76 7 V
E-Mail or Fax#(Optional)
Contractor Information:
Company Name• / t
p y Pee/O.R Afre f / /S'i 1 //k/c- Quali ing Agent:
Address: 9ZO !Y• ( O/4)' AA= City t/Ct5V/A4eZ State Zip 225
Office Ph e ?O S/ 3 R'2 Z z T e/Contact Number Fax#
State Certi
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address /A
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and work is commenced ommenced I understand within
hat separate or be secured for ElectriicalpWork, Plumbing,Signs,aperiod
Wells,Pools,XFurnaces, Boilers,Heaters,
after
Tanks and Air Conditioners,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR ND Y WITH
YOUR L EER OR AN ATTORNEY RECORDING OUR NOTICE
COMMENCEMENT.
I hereby certify that I have read and examined this tvplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner(�c./�u/R O<,L , Signature of Contractor56127
Print Name ( bA W .__. Print Name
Sworn_.to and subscribed befo e i Sworn to and subsc 'bed before me
this<f Day of /t/O' ' ,20/5 this 41 Day of • .20t
O__/� f� ; /�:o`'''°` D•t D EARL FLEISCHMANN
% "'Ar1,"' 7!f*4,A MY OMMISSION#FF157186
No r tC MY COMMISSION FF157186 Cdr: EXPIRES September 4 2018
.'•?a,,,f.t." EXPIRES September 4,2018 (407)398-0153 PfgaiiiikediAlACJAM
(407)398-0153 FloridallotaryService.com
sJ:u City of Atlantic Beach
s r '" APPLICATION NUMBER
WI\ Building Department 800 Seminole Road (To be assigned by the Building Department.)
�;� - �r Atlantic Beach, Florida 32233-5445 1c- 'Nee - 202 ,
\ - Phone(904)247-5826 • Fax(904)247-5845
\,:_01; p% E-mail: building-dept @coab.us Date routed: fit hc
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 52 siA.,40,71 Ag. Department review required Yes No
Bui ••••
Applicant: Q �, ��-�j _ Planning &Zoning
Project: �
re=•• . or
1 j "'n & *Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
Florida Dept. of Environmental P rotection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers -
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
___ APPLICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
4
BUILDING
PLANNING &ZONING .o%�..! _ /�
__ Reviewed by: (/ Dater/.��,if
TREE ADMIN. Second Review:
QApproved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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